Working with mass casualty incidents (MCI)

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The FM outlines our core skills, policies and guides to ensure every member stands ready for the mission ahead.

A mass casualty incident is any medical situation which renders an element combat ineffective and where it's unable to sustain itself. When dealing with MCIs as a medic a structured approach is required. For example a senior medic may instruct the following:

• Combat Life Savers: tourniqueting all limbs, checking airways, bandaging head and torso, stitching or CPR.
• Squad or Combat Medics: ensuring airways are clear and all casualties are receiving blood.
• Platoon Medics and above: triaging incoming wounded and tasking other helpers to ensure all casualties are being treated.

Published by Maj James on 23/02/2024 at 19:24

Communication moves to casualty management

This turns into a guide on how to assign tasks at a CCP

Teamwork and communication between medical personnel is vital to ensure all the patients are getting the care they need. When only dealing with only one or a few casualties teamwork can simply be done by stating what you are doing with the patients e.g. “I am giving patient name morphine” so actions on a singular patient don't happen more than they should. In any case the most senior medic should always ensure that all patients are receiving care.

For MCIs a more structured approach is needed. For example the most senior medic can task a CLS with:

tourniqueting all limbs, checking airways, bandaging head and torso, stitching or CPR.

A Squad medic may be tasked with ensuring airways are clear and all casualties are receiving blood.

A Platoon medic may be tasked with triaging incoming wounded and tasking other helpers to ensure all casualties are being treated.

When a CCP is being run by a medical team or setup by a medical team these roles should be assigned prior to casualties arriving for efficient treatment, for example:

A medical team may have a setup similar to this:MTO: Triaging and tasking medic personnel, communicating with leadership, medication, help out wherever needed.MTA: Casualty collection , stabilise patients, stitching head and torso, CPR.

MT 1: Giving blood, stitching head and torso, CPR, mangaging heart rate.

MT 2: Airway management, mangaging heart rate.

MT 3: Medication,  stabilising patient, mangaging heart rate, stitching.

Published by Sgt Jochem on 28/12/2023 at 22:12

Teamwork and communication between medical personnel is vital to ensure all the patients are getting the care they need. When only dealing with only one or a few casualties teamwork can simply be done by stating what you are doing with the patients e.g. “I am giving patient name morphine” so actions on a singular patient don't happen more than they should. In any case the most senior medic should always ensure that all patients are receiving care.

For MCIs a more structured approach is needed. For example the most senior medic can task a CLS with:

tourniqueting all limbs, checking airways, bandaging head and torso, stitching or CPR.

A Squad medic may be tasked with ensuring airways are clear and all casualties are receiving blood.

A Platoon medic may be tasked with triaging incoming wounded and tasking other helpers to ensure all casualties are being treated.

When a CCP is being run by a medical team or setup by a medical team these roles should be assigned prior to casualties arriving for efficient treatment, for example:

A medical team may have a setup similar to this:MTO: Triaging and tasking medic personnel, communicating with leadership, medication, help out wherever needed.MTA: Casualty collection , stabilise patients, stitching head and torso, CPR.

MT 1: Giving blood, stitching head and torso, CPR, mangaging heart rate.

MT 2: Airway management, mangaging heart rate.

MT 3: Medication,  stabilising patient, mangaging heart rate, stitching.

Published by SP1 Applechaser on 23/12/2023 at 14:17

Teamwork and communication between medical personnel is vital to ensure all the patients are getting the care they need. When only dealing with only one or a few casualties teamwork can simply be done by stating what you are doing with the patients e.g. “I am giving patient name morphine” so actions on a singular patient don't happen more than they should. In any case the most senior medic should always ensure that all patients are receiving care.

For MCIs a more structured approach is needed. For example the most senior medic can task a CLS with:

tourniqueting all limbs, checking airways, bandaging head and torso, stitching or CPR.

A Squad medic may be tasked with ensuring airways are clear and all casualties are receiving blood.

A Platoon medic may be tasked with triaging incoming wounded and tasking other helpers to ensure all casualties are being treated.

When a CCP is being run by a medical team or setup by a medical team these roles should be assigned prior to casualties arriving for efficient treatment, for example:

A medical team may have a setup similar to this:MTO: Triaging and tasking medic personnel, communicating with leadership, medication, help out wherever needed.MTA: Casualty collection , stabilise patients, stitching head and torso, CPR.

MT 1: Giving blood, stitching head and torso, CPR, mangaging heart rate.

MT 2: Airway management, mangaging heart rate.MT 3: Medication,  stabilising patient, mangaging heart rate, stitching.

Published by SP1 Applechaser on 23/12/2023 at 13:52